Covenant Hospital Plainview
2601 Dimmitt Rd, Plainview, TX · Providence · · NPI 1073580726
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $71.70 – $71.70 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $99.71 – $256.30 | 5 |
| Stem cells total count CPT 86367 | not published | not published | $75.45 – $82.06 | 4 |
| Stenger test pure tone CPT 92565 | not published | not published | $57.48 – $93.92 | 5 |
| Stenger test speech CPT 92577 | not published | not published | $255.72 – $395.48 | 5 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $6,794.00 – $38,946.93 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $57,771.00 | $137,550.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $33,488.94 | $79,735.57 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $31,250.64 | $74,406.28 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $7,023.54 | $16,722.72 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $6,794.00 – $25,256.92 | 3 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $2,273.85 – $5,619.00 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $6,794.00 – $38,946.93 | 3 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $156.85 – $156.85 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $3,000.41 – $3,907.45 | 2 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $1,211.61 – $1,211.61 | 1 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.14 – $0.14 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.22 – $0.22 | 1 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $4.41 – $4.41 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $1,122.08 – $3,467.69 | 5 |
| St evaluate speech sound production CPT 92522 | $244.44 | $582.00 | $104.39 – $201.93 | 5 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $504.00 | $1,200.00 | $220.11 – $411.62 | 5 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $199.92 | $476.00 | $88.36 – $189.51 | 5 |
| St evaluation swallow function CPT 92610 | $152.04 | $362.00 | $56.33 – $159.22 | 5 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,000.00 – $3,630.85 | 6 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.83 – $0.83 | 1 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $166.01 – $180.56 | 4 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $166.01 – $180.56 | 4 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $166.01 – $180.56 | 4 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $166.01 – $180.56 | 4 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $1,011.25 – $1,328.79 | 2 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $14.93 – $14.93 | 1 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $4.21 – $4.21 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $194.46 | $463.00 | $28.28 – $172.22 | 5 |
| Strapping of chest CPT 29200 | $194.46 | $463.00 | $37.73 – $172.22 | 5 |
| Strapping of elbow or wrist 29260 CPT 29260 | $76.86 | $183.00 | $57.48 – $137.39 | 5 |
| Strapping of hand or finger CPT 29280 | $133.56 | $318.00 | $57.48 – $137.39 | 5 |
| Strapping of hip CPT 29520 | $155.40 | $370.00 | $110.57 – $141.01 | 5 |
| Strapping of knee CPT 29530 | $155.40 | $370.00 | $129.64 – $141.01 | 5 |
| Strapping of toes 29550 CPT 29550 | $118.02 | $281.00 | $57.48 – $137.39 | 5 |
| Strep a ag ia CPT 87430 | not published | not published | $16.31 – $17.73 | 4 |
| Strep a dna dir probe CPT 87650 | not published | not published | $19.45 – $21.15 | 4 |
| Strep a dna quant CPT 87652 | not published | not published | $40.51 – $44.06 | 4 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.35 – $13.43 | 4 |
| Strep b dna amp probe CPT 87653 | $243.60 | $580.00 | $34.04 – $37.02 | 4 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.28 – $13.36 | 4 |
| Streptomycin injection HCPCS J3000 | not published | not published | $278.25 – $278.25 | 1 |
| Streptozocin injection HCPCS J9320 | not published | not published | $1,334.52 – $1,334.52 | 1 |
| Stress test pulmonary CPT 94618 | not published | not published | $129.64 – $141.01 | 4 |
| Stress tte complete CPT 93351 | not published | not published | $315.57 – $579.09 | 5 |
| Str markers spec anal addl CPT 81266 | not published | not published | $295.67 – $321.57 | 4 |
| Str markers specimen anal CPT 81265 | not published | not published | $226.08 – $245.89 | 4 |
| St treatment speech individual CPT 92507 | $167.58 | $399.00 | $74.11 – $173.18 | 5 |
| St treatment swallow dysfunction/oral CPT 92526 | $153.30 | $365.00 | $81.84 – $187.95 | 5 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $634.82 – $966.06 | 5 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $854.72 – $870.62 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $93.59 – $212.63 | 5 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $155.23 – $783.27 | 5 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $267.67 – $272.61 | 2 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $256.26 – $261.72 | 2 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $2,150.00 – $4,837.00 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,188.30 – $5,644.25 | 5 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $5,619.00 – $7,690.19 | 5 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,188.30 – $5,644.25 | 5 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $5,619.00 – $13,606.53 | 5 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $3,000.41 – $4,036.21 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $56.70 | $135.00 | $4.93 – $4.93 | 1 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,300.00 – $6,037.67 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,300.00 – $6,037.67 | 6 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,300.00 – $6,037.67 | 6 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,010.50 – $6,037.67 | 6 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.18 – $12.16 | 4 |
| Sugars single quant CPT 84378 | not published | not published | $11.18 – $12.16 | 4 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $112.36 | $267.53 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $56.70 | $135.00 | $89.74 – $89.74 | 1 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.19 – $3.19 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $6.98 – $49.63 | 5 |
| Supply of digital device HCPCS G0552 | not published | not published | $129.73 – $141.10 | 4 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $25.80 – $25.80 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $73.38 | $174.72 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $39,938.22 – $43,437.97 | 4 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $165.00 – $168.54 | 2 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $142.95 – $146.80 | 2 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,150.00 – $3,817.35 | 6 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,668.98 – $5,619.00 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,671.15 – $6,794.00 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $2,150.00 – $6,583.40 | 6 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $2,420.90 – $3,130.30 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $6,794.00 – $7,690.19 | 5 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,986.61 – $7,690.19 | 5 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $6,794.00 – $7,690.19 | 5 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,816.52 – $7,690.19 | 5 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $2,613.00 – $5,682.47 | 5 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,729.48 – $3,793.76 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $2,236.91 – $2,931.06 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $883.78 – $1,955.94 | 5 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,647.26 – $2,131.34 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,511.89 – $5,105.49 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $87.36 | $208.00 | $28.18 – $30.65 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.